EP2776072A1 - Procédé de nettoyage et d'assainissement d'instruments chirurgicaux d'une manière générale et dispositif approprié pour mettre en uvre ledit procédé - Google Patents

Procédé de nettoyage et d'assainissement d'instruments chirurgicaux d'une manière générale et dispositif approprié pour mettre en uvre ledit procédé

Info

Publication number
EP2776072A1
EP2776072A1 EP12716634.6A EP12716634A EP2776072A1 EP 2776072 A1 EP2776072 A1 EP 2776072A1 EP 12716634 A EP12716634 A EP 12716634A EP 2776072 A1 EP2776072 A1 EP 2776072A1
Authority
EP
European Patent Office
Prior art keywords
instruments
cleaning
surgical instruments
cabinet
cleaned
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Granted
Application number
EP12716634.6A
Other languages
German (de)
English (en)
Other versions
EP2776072B1 (fr
Inventor
Alessandro Paolo SOMMACAL
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Bicar Jet Srl
Original Assignee
Bicar Jet Srl
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Bicar Jet Srl filed Critical Bicar Jet Srl
Priority to PL12716634T priority Critical patent/PL2776072T3/pl
Priority to SI201230255T priority patent/SI2776072T1/sl
Publication of EP2776072A1 publication Critical patent/EP2776072A1/fr
Application granted granted Critical
Publication of EP2776072B1 publication Critical patent/EP2776072B1/fr
Priority to HRP20150714TT priority patent/HRP20150714T1/hr
Priority to CY20151100597T priority patent/CY1116473T1/el
Active legal-status Critical Current
Anticipated expiration legal-status Critical

Links

Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/70—Cleaning devices specially adapted for surgical instruments
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61L—METHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES
    • A61L2/00—Methods or apparatus for disinfecting or sterilising materials or objects other than foodstuffs or contact lenses; Accessories therefor
    • A61L2/02—Methods or apparatus for disinfecting or sterilising materials or objects other than foodstuffs or contact lenses; Accessories therefor using physical phenomena
    • B—PERFORMING OPERATIONS; TRANSPORTING
    • B24—GRINDING; POLISHING
    • B24C—ABRASIVE OR RELATED BLASTING WITH PARTICULATE MATERIAL
    • B24C1/00—Methods for use of abrasive blasting for producing particular effects; Use of auxiliary equipment in connection with such methods
    • B24C1/003—Methods for use of abrasive blasting for producing particular effects; Use of auxiliary equipment in connection with such methods using material which dissolves or changes phase after the treatment, e.g. ice, CO2
    • B—PERFORMING OPERATIONS; TRANSPORTING
    • B24—GRINDING; POLISHING
    • B24C—ABRASIVE OR RELATED BLASTING WITH PARTICULATE MATERIAL
    • B24C1/00—Methods for use of abrasive blasting for producing particular effects; Use of auxiliary equipment in connection with such methods
    • B24C1/08—Methods for use of abrasive blasting for producing particular effects; Use of auxiliary equipment in connection with such methods for polishing surfaces, e.g. smoothing a surface by making use of liquid-borne abrasives
    • B24C1/086—Descaling; Removing coating films
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61L—METHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES
    • A61L2202/00—Aspects relating to methods or apparatus for disinfecting or sterilising materials or objects
    • A61L2202/20—Targets to be treated
    • A61L2202/24—Medical instruments, e.g. endoscopes, catheters, sharps

Definitions

  • the present patent concerns the processes and devices for cleaning surgical tools or surgical instruments, and in particular it concerns a new sand blasting process for cleaning and sanitizing surgical tools or surgical instruments in general, and a device suited to implement said process.
  • Surgical tools and instruments used in the medical field for example in surgery, dentistry, veterinary medicine, etc, are known, which are used for carrying out operations on the patient's body.
  • said instruments In order to be used, said instruments must be completely and accurately cleaned and sanitized, meaning that their surface must not present any type of foreign substance, bacteria or other elements that may cause pathological reactions in any type of patient.
  • a drawback posed by the known processes using chemical products lies in that some of them, commonly used in washing cycles, are too aggressive against the stainless steel used for making surgical instruments and cause these to corrode.
  • the surgical instruments comprise portions of their surface that are smooth and other portions that are rough, for example at the level of the handpieces, where better hold must be guaranteed to the operator.
  • Some surgical instruments also comprise interstices and small spaces according to the specific shape of the instrument and to usage needs.
  • Organic impurities accumulate in said interstices and on said rough surface and are difficult to remove with the known washing processes.
  • the second, neutralizing step includes the use of acid products that serve to solubilize and completely remove the oxides formed during cleaning with detergents.
  • the third step includes the cleansing of the instruments with high temperature water, approximately at 90°, which may cause more marked corrosion effects at the level of said areas subjected to localized corrosion. Therefore, the known processes and equipment for cleaning and sanitizing surgical instruments pose several drawbacks.
  • the main object of the present invention is to ensure highly effective mechanical removal of the substances stuck to the entire surface of the instruments and, at the same time, a highly effective washing, sanitizing and disinfecting process, if any.
  • a further important advantage of the present invention also consists in the considerable reduction of washing times and thus of the related costs, as the new product performs the abrading step, the cleansing step and if necessary also the disinfecting and/or biocidal action at the same time, with a single application.
  • Another advantage deriving from the use of the present invention lies in the reduction of energy costs, as the effectiveness of the product is guaranteed even if the product is applied with air, with or without water, not heated, and thus with no need to use hot water.
  • the removal of the substances adhering and stuck to the surfaces of the instrument to be cleaned takes place through abrasion, with the ejection of abrasive cleaning material at high speed against the instruments to be cleaned.
  • said abrasive cleaning material comprises sodium bicarbonate salts, mixtures of the same or the like.
  • Said sodium bicarbonate salts can be used both dry and wet, in the latter case dissolved in water beyond the saturation limit, so as to form a solution comprising dissolved and undissolved salts, suited to be emitted under pressure and at high speed and ejected against the instruments to be cleaned.
  • the portion of sodium bicarbonate salts dissolved in the solution performs the real washing function, dissolving and leaching the organic material present on the surface of the instruments.
  • the portion of undissolved sodium bicarbonate salts serves as abrasive material.
  • the new process is particularly suitable for washing said surgical instruments, as it does not involve any corrosive effect on the material from which said instruments are made and there is no abrasive action, meaning no surface modification of the instrument.
  • sodium bicarbonate has a strong sanitizing, antibacterial and antifungal action.
  • sodium bicarbonate is not dangerous for operators and is not detrimental to the environment, is 100% biodegradable and soluble, which means that it is not polluting and not subjected to special restrictions for storage, transport and handling.
  • said abrasive cleaning material comprises, in addition to sodium bicarbonate salts and water, even one or more further disinfecting and/or biocidal agents, for example in a concentration included between 0.1 and 25%.
  • said abrasive cleaning material may also comprise one or more further substances with cleansing and/or disinfecting properties and/or one or more specifically acting medical products.
  • the water used may be heated or at room temperature, since the use of sodium bicarbonate, in particular with the addition of disinfecting and/or biocidal agents, guarantees optimal cleaning and sanitizing results.
  • the new process also ensures savings in energy and running costs.
  • the improved effectiveness of the cleaning process also generates a considerable reduction in the percentage of infections in patients treated subsequently, thanks to better and more effective cleaning of the surgical instruments, with a consequent reduction of the related costs.
  • the process may comprise a final step in which the instruments are rinsed with cold water, meaning non heated water, and/or are blown with dry sodium bicarbonate salts.
  • a device shown in Figure 1, is used that comprises a closed sand blasting cabinet (C) suited to accommodate one or more instruments to be cleaned.
  • C closed sand blasting cabinet
  • said cabinet there is/are one or more supports (A) for said surgical instruments (S), suited to constrain the instruments and keep them in position during the sand blasting operation.
  • Said supports (A) can be of the fixed or movable type, for example they can be rotated or translated, so as to expose the entire surface of the instrument to the jet emitted by the emitter nozzle (U).
  • said emitter nozzle is movable, that is, travels along the three spatial directions and/or rotates, so as to direct the jet on the entire surface of the instruments to be cleaned.
  • Said instruments to be cleaned can in turn be constrained to said fixed or movable supports, or held manually by the user.
  • Said emitter nozzle can be moved manually or can be automated.
  • said emitter nozzle is fixed inside the cabinet, and thus the jet is permanently oriented in the same direction.
  • the instruments to be cleaned can be manoeuvred manually by the operator, in order to expose their entire surface to the jet.
  • said supports of the instruments to be cleaned are mechanized and movable, translating and/or rotating, thus completely automating the process.
  • the device also comprises at least one abrasive material feed system, in turn comprising an abrasive material tank, and wherein, through at least one duct, a flow of pressurized air and/or water draws or thrusts said abrasive material from said tank and transports it to an emitter nozzle located inside said cabinet.
  • the device may also comprise a vacuum suction system for drawing the abrasive material inside said cabinet and an air filtering system for filtering the air flowing out of the cabinet and recovering the material used in at least one apposite container.
  • Said sand blasting cabinet can have any shape and size and comprises a casing with at least one access door for introducing and extracting the surgical instruments.
  • Said casing of the cabinet comprises also one or more check windows, one or two openings with sleeve glove suited to allow the operator to manoeuvre the sand blasting nozzle and/or to rotate the instruments to be cleaned inside the cabinet, and one discharge opening on the bottom of the cabinet.
  • Said bottom of the cabinet can be shaped, for example, so as to favour the outflow of the waste material.
  • the cleaning operations with sodium bicarbonate salts can thus be carried out inside said cabinet, both manually, by one or more operators at the same time, and in an automated manner, with the aid of appropriate instruments or suitable automated mechanical systems.

Landscapes

  • Health & Medical Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Mechanical Engineering (AREA)
  • Surgery (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Molecular Biology (AREA)
  • Pathology (AREA)
  • Epidemiology (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Medical Informatics (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Apparatus For Disinfection Or Sterilisation (AREA)
  • Cleaning By Liquid Or Steam (AREA)
  • Detergent Compositions (AREA)
  • Materials For Medical Uses (AREA)
  • Polyurethanes Or Polyureas (AREA)
  • Cleaning In General (AREA)

Abstract

L'invention concerne un procédé de nettoyage et d'assainissement d'outils chirurgicaux ou d'instruments chirurgicaux d'une manière générale, et un dispositif approprié pour mettre en œuvre ledit procédé. En particulier, l'invention concerne l'utilisation d'un matériau de nettoyage abrasif, émis sous pression et à grande vitesse contre lesdits instruments pour abraser et éliminer les substances qui adhèrent aux surfaces desdits instruments, et ledit matériau de nettoyage abrasif comprenant des sels de bicarbonate de sodium, des mélanges de ceux-ci ou des substances similaires.
EP12716634.6A 2011-11-11 2012-03-29 Procédé de nettoyage et d'assainissement d'instruments chirurgicaux d'une manière générale et dispositif approprié pour mettre en oeuvre ledit procédé Active EP2776072B1 (fr)

Priority Applications (4)

Application Number Priority Date Filing Date Title
PL12716634T PL2776072T3 (pl) 2011-11-11 2012-03-29 Sposób czyszczenia i odkażania ogólnie instrumentów chirurgicznych i urządzenie odpowiednie do wdrożenia tego sposobu
SI201230255T SI2776072T1 (sl) 2011-11-11 2012-03-29 Postopek za čiščenje in razkuževanje kirurških inštrumentov na splošno in naprava, primerna za izvajanje tega postopka
HRP20150714TT HRP20150714T1 (hr) 2011-11-11 2015-07-01 Postupak čišćenja i dezinfekcije kirurških instrumenata općenito i uređaj prikladan za implementaciju tog postupka
CY20151100597T CY1116473T1 (el) 2011-11-11 2015-07-08 Μεθοδος καθαρισμου και απολυμανσης χειρουργικων οργανων γενικα και διαταξη καταλληλη για την εφαρμογη της εν λογω μεθοδου

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
IT000352A ITPD20110352A1 (it) 2011-11-11 2011-11-11 Procedimento per la pulizia e l'igienizzazione di ferri chirurgici o strumenti chirurgici in genere, e dispositivo attuante tale procedimento
PCT/IB2012/051514 WO2013068857A1 (fr) 2011-11-11 2012-03-29 Procédé de nettoyage et d'assainissement d'instruments chirurgicaux d'une manière générale et dispositif approprié pour mettre en œuvre ledit procédé

Publications (2)

Publication Number Publication Date
EP2776072A1 true EP2776072A1 (fr) 2014-09-17
EP2776072B1 EP2776072B1 (fr) 2015-06-03

Family

ID=45464767

Family Applications (1)

Application Number Title Priority Date Filing Date
EP12716634.6A Active EP2776072B1 (fr) 2011-11-11 2012-03-29 Procédé de nettoyage et d'assainissement d'instruments chirurgicaux d'une manière générale et dispositif approprié pour mettre en oeuvre ledit procédé

Country Status (14)

Country Link
US (1) US20140230849A1 (fr)
EP (1) EP2776072B1 (fr)
CA (1) CA2849053C (fr)
CY (1) CY1116473T1 (fr)
DK (1) DK2776072T3 (fr)
ES (1) ES2543159T3 (fr)
HR (1) HRP20150714T1 (fr)
HU (1) HUE025700T2 (fr)
IT (1) ITPD20110352A1 (fr)
PL (1) PL2776072T3 (fr)
PT (1) PT2776072E (fr)
RS (1) RS54090B1 (fr)
SI (1) SI2776072T1 (fr)
WO (1) WO2013068857A1 (fr)

Families Citing this family (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN107309809A (zh) * 2017-06-01 2017-11-03 成都贝施美生物科技有限公司 一种新型喷砂装置
CN107160292A (zh) * 2017-06-01 2017-09-15 成都贝施美生物科技有限公司 种植体外表面喷砂设备
CN112932689B (zh) * 2021-03-30 2023-09-29 中国人民解放军陆军特色医学中心 一种野战模式下手术器械清洗消毒器

Family Cites Families (8)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US4776794A (en) * 1986-06-03 1988-10-11 Moshe Meller Cleaning instrument using premixed abrasive liquid
US5177911A (en) * 1991-11-15 1993-01-12 Ruemelin Charles R Abrasive blast cabinet
US5556324A (en) * 1995-02-17 1996-09-17 Church & Dwight Co., Inc. Blasting cabinet
US6719612B2 (en) * 2001-05-14 2004-04-13 Universal Ice Blast, Inc. Ice blast cleaning cabinet
US7776379B2 (en) * 2001-09-19 2010-08-17 Medlogics Device Corporation Metallic structures incorporating bioactive materials and methods for creating the same
ITPD20020309A1 (it) * 2002-12-04 2004-06-05 Solvay Chimica Italia Spa Impianto per pulitura industriale con cabina
US6905396B1 (en) * 2003-11-20 2005-06-14 Huffman Corporation Method of removing a coating from a substrate
DE102005001700A1 (de) * 2005-01-13 2006-07-27 Julius-Maximilians-Universität Würzburg Instrumenten-Reinigungsvorrichtung für Behandlungsinstrumente

Non-Patent Citations (1)

* Cited by examiner, † Cited by third party
Title
See references of WO2013068857A1 *

Also Published As

Publication number Publication date
ES2543159T3 (es) 2015-08-17
WO2013068857A1 (fr) 2013-05-16
CY1116473T1 (el) 2017-03-15
RS54090B1 (en) 2015-10-30
PL2776072T3 (pl) 2015-10-30
PT2776072E (pt) 2015-09-08
EP2776072B1 (fr) 2015-06-03
HRP20150714T1 (hr) 2015-08-14
SI2776072T1 (sl) 2015-08-31
CA2849053A1 (fr) 2013-05-16
HUE025700T2 (en) 2016-04-28
CA2849053C (fr) 2018-10-09
US20140230849A1 (en) 2014-08-21
ITPD20110352A1 (it) 2013-05-12
DK2776072T3 (en) 2015-07-27

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